Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jon-Tyler Roach, DC

Individual provider Chiropractor · NPI 1508262882

Dr. Jon-Tyler Roach, DC is a Chiropractic in Barboursville, West Virginia. Graduated from Life Chiropractic College in 2013, 13 years ago. Accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
13
Trained at
Life Chiropractic College
Licensed in
WV
In the registry since
2014
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

6468 Farmdale Rd
Barboursville, WV 25504-1330
Phone: (304) 733-4038
Fax: (304) 733-4036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 973 (WV)

Record details

NPI number1508262882
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedNovember 13, 2014
Last updated in NPPESFebruary 27, 2020
Certification dateFebruary 27, 2020
Mailing address6468 Farmdale Rd, Barboursville, WV 25504-1330

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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